Acadian Client Services has an immediate opening for a full-time Facility Contract Specialist position at the Kaliste Saloom location in Lafayette, LA. The hours are 8am – 5pm (Monday – Friday).
Overall Responsibility:
Responsible for managing all aspects of outstanding receivables for all ambulance and van transports where the facility is responsible.
Key Areas of Responsibility:
- Pre-Verification on the payer types of Governmental Agency or Private Industry
- Pre-Verification on all Stand By accounts
- Review transports that missed initial Facility edits but meet the Facility contract criteria therefore, may be billable to the Facility
- Prepare billings both Daily and Monthly for Hospitals, Nursing Homes, Private Industry, Governmental Agencies, and Van Transports
- Facility Deposits –Reconcile
- Payment Review of Unacceptable or Questionable Payments
- Review Overpayments and Processing of Refunds to Facilities
- Inbound calls relating to Facilities
- Correspondence relating to Facilities
- Prepare monthly Reports for Administration Review
- Run ancillary reports as requested, such as, utilization for their respective facilities
Qualifications:
- 5+ years of facility contract billing/management, or Associates Degree and 3 or more years of Medical Billing experience
- Intermediate knowledge of Microsoft Word and Excel
- Problem solving abilities
- Excellent communication and customer relation skills
- Understanding of Centers for Medicare & Medicaid Services regulations including but not limited to the SNF Consolidated Billing Act, PPS, Hospital Part-A Billing Requirements
- Ability to adhere to productivity goals and departmental guidelines
- Demonstrate a strong work ethic and work independently
EOE/AA
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